Document Details





Instrument Number
201909062004443

Record Date
9/6/2019

Book Type
NOT - NOTARIES

Book/Page

Instrument #
201909062004443

Number of Pages
3

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
NIENABER, TYLER BROCK

Type
Single

Processed By
DOZALB

Status
EXPIRED

Online Test Passed
8/21/2019

Background Check Req?
False

Officiant Residence Address 1
826 14TH ST NW

Officiant Residence City
ROCHESTER

Officiant Residence State
MINNESOTA

Officiant Residence Zip
55901

Officiant Mailing Address 1
826 14TH ST NW

Officiant Mailing City
ROCHESTER

Officiant Mailing State
MINNESOTA

Officiant Mailing Zip
55901

Officiant Phone 1
(507) 269-8487

Officiant Email Address
TYNIENABER@GMAIL.COM

Ceremony Date
10/11/2019

Party 1 Name
BOURCY, SAMANTHA

Party 2 Name
BURANEN, JUSTIN

Approved Date
9/6/2019

Certificate Expiration Date
10/12/2019